The URL can be used to link to this page

Home My WebLink About2703 PALMETTO DR; ; CB052490; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-05-2005 Plumbing Permit Permit No: CB052490 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2703 PALMETTO DR CBAD PLUM 2131801400 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: KRATKA RES-GAS & ELECT TO FUTURE SPA, ELECT TO FOUNTAIN & KOi POND Applicant: KEONI LANDSCAPES 1052 KNOWLES CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 Owner: KRATKA PAUL C 2703 PALMETTO DR CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 07/05/2005 LSM 07/05/2005 07/05/2005 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 Inspector: FINAL APPROVAL Date: )., • /~·Ob 1909 07/05/05 0002 01 02 CGP 47-00 Clearance: NOTICE: Please take NOTICE that approval of your project includes the ulmposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/exactlons." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 t l. •. FOR OFFICE USE ONL V PLAN CHECK NO. (J{j CJ~;)l.fqO EST. VAL. _________ _ Plan Ck. Deposit--....,...,.,------::----- Validated By ___ -"~~-=-.;-=--- Date. ______ 1....:.Q?fes-1-.;;:5-+-'0:;....:)...;.,--___ _ Address (include Bldg/Suite Ill lf 's§ Business Name (at this address) Legal Description Lot No. Name Address · 0 ' Ag9nt for <;;ontta~or 0 ,- Name Address IJ>.~:1l~ONJAA(;.TQR ~ C:O.fflPAl'!!Y. ~f;,(,c'' ;; ,; : .• · , :' Subdivision Name/Number Unit No. Phase No. Total # of units # of Bathrooms City Telephone # Fax # boJ 7 c).__1 ~S~ r ~ Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, elter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exe ·on. Any violafon of Sectio 7031.5 by any applicant for a permit subjects the pplicant t9 a civil naltj-Qf not !Pjlr!t than five hu ed liars ($500)). ,-.... C:> ll < ,--e..J> ' ,I(} ~ <--i cl.<!JcJ8 ') -~ (:, ~ Name State License I _Lf'----+7-~~~-j-~--Address License Class __ C,__-~-~--""")"''---- City State/Zip Telep one # City Business License # / d:-0 # 'f 1 Designer Name Address City State/Zip Telephone Stata License # _________ _ ll\. ~@.M~'OQN..,.;':-"l."""'"" .;JC ' "ii' ..;,/.,lh"'·" '.c .. ., ; .. ~:.c ·. . ,..," _,1·, .. • · • ;,\, ,. , , Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the'following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company_____________________ Policy No. ____________ _ Expiration Date, _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) ~ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to Hcur~v~kf!!~-,Ipenntlon coverage I• unlawful, and llhall •ubjact an employer to criminal pen■ltlaa and civil flnaa up to one hundred thounnd dollar■ 0 , ~,,._......, he coat of comp-atlon, damagaa aa provided for In Section 3706 of t~J',d•, l~at and attorney's fees. SIGNATURE_::_::-_,-:z-~:;,4',~....:c..-=:c.,,:~~~'.:::::::-______________ DATE ~0 C;:) tl ;';#lOWNM".11,!J c . E~TIQ,N)i,/$~-~•t:;l~:,'>l1:\t:. '., """';. t,fil,t~/!".:Ji t,b•)·)1i•i1:f'~ .... : ';-. c•;>, '· ,.,,,,,.,, ;,;...,:··\ ·• , .. •:::, ·' . ~>t'·"" · ' I he;eby affirm t I am exempt from the Contractor's License Law for the following reason: 0 I, as o r of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044 usiness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------~Q"1J!tffl)\'.1lQ JEe.JlQf!:,fQft' lVQ~J'Pil'IAliilPJUllN~ft11I$J)NL~&~;~ ·~i~ ~-'\,{ •~ . '. ' ~: ?.J. ,t~'i..~~~"' .~Ji Ii,,.~• ~:J1~v~,< · ., ··~ i · (. ~ _, Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or eir quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. [11{·/~~Tf!l-!QTIQfH;ffiQ!.N.-U.!.ifflCYlJ:Ji•.'.K::,~'.'2'\::,: ,\, ,, •' ,'• 1 • · I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and Stete laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the b · ding Official under the provisions of lhis Code shall expire by limitation and become null and void if lhe building or work authorized by such permit is not co ilhin 180 days from the dale of such permit or if the building or work authorized by such permit suspended or abandoned at any time after the work is co ys (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -'=;~~"74,,D!,..__.J.__:::~~~__:=::______________ DATE ---4,--+---------- YELL0W: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/13/2005 Permit# CB052490 Inspector Assignment: PC --- Title: KRATKA RES-GAS & ELECT TO Description: FUTURE SPA, ELECT TO FOUNTAIN & KOi POND Type: PLUM Sub Type: Job Address: 2703 PALMETTO DR Suite: Lot Location: APPLICANT KEONI LANDSCAPES Owner: KRATKA PAUL C Remarks: Total Time: CD Description 0 Act Comment Phone: 7608075845 Inspector: ~AJ Requested By: JOHN Entered By: CHRISTINE 23 Gas/Test/Repairs ~-------------------- 31 Underground/Conduit-Wiring .JJ..:ik: ___________________ _ _2!f____,_~~'~~~-L ___ ---JJ.J2----------~ Associated PCRs/CVs lnsgection Histo!Y Date Description Act lnsp Comments 07/06/2005 23 Gas/TesVRepairs AP PC 07/06/2005 31 Underground/Conduit-Wiring AP PC